| NPI | 1700805686 |
|---|---|
| Professional Name | CHANNING HEAVENOR CREVELING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12781) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6881) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-10-10 |